Abstract：
PURPOSE::To evaluate the use of intraocular injection of triamcinolone acetonide in pediatric cataract surgery with or without intraocular lens implantation as a vitreous dye to ensure a complete anterior vitrectomy and evaluate its effect on postoperative ocular inflammation, infection, posterior capsule opacification, and intraocular pressure. METHODS::Randomized controlled trial included children diagnosed with bilateral congenital cataract in both eyes. Their eyes were randomly assigned into two groups: group A underwent aspiration, posterior capsulotomy, and anterior vitrectomy with intraocular injection of triamcinolone acetonide, while group B underwent the same surgical procedure without intraocular injection of triamcinolone acetonide. Intraocular pressure, postoperative inflammation, infection, and posterior capsule opacification were followed up till 6 months. RESULTS::The study comprised 44 eyes of 22 children. The mean age was 2.4 ± 2.1 years including 10 males and 12 females. The mean postoperative intraocular pressure was within normal range in both groups. No case of infection in both groups. No eyes in group A showed reaction, while in group B, three eyes showed exudate on the first day, which improved at 2 weeks. Posterior synechiae was recorded in four eyes in group A and in five eyes in group B. Posterior capsule opacification was noted in one eye in group A at 3 month, while it was noted in nine eyes in group B. The difference was statistically significant ( p = 0.004). CONCLUSION::Triamcinolone acetonide was found to be useful in better visualization of vitreous in pediatric cataract surgery and has good effect in decreasing postoperative inflammation and posterior capsule opacification.
journal_name
Eur J Ophthalmoljournal_title
European journal of ophthalmologyauthors
Allam G,Ellakkany R,Ellayeh A,Mohsen T,Abouelkheir HE,Gaafar Wdoi
10.1177/1120672117754168subject
Has Abstractpub_date
2018-11-01 00:00:00pages
633-638issue
6eissn
1120-6721issn
1724-6016journal_volume
28pub_type
杂志文章,随机对照试验abstract：PURPOSE:To evaluate the risk factors for posterior capsule rupture with or without vitreous loss (PCR +/- VL) in extracapsular cataract extraction (ECCE). METHODS:The charts of 2794 consecutive patients who had ECCE with or without intraocular lens implantation between January 1992 and December 1997 were reviewed retr...
journal_title：European journal of ophthalmology
pub_type： 临床试验,杂志文章,随机对照试验
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journal_title：European journal of ophthalmology
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journal_title：European journal of ophthalmology
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更新日期：1998-04-01 00:00:00
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更新日期：2016-01-01 00:00:00
